Daniela Lopez
Louisville,KY
Summary
Healthcare operations professional with experience supporting benefits investigations, workflow coordination, and complex case resolution in regulated environments. Demonstrated ability to analyze operational issues, collaborate with cross-functional stakeholders, and support process improvement initiatives. Strong documentation, troubleshooting, and communication skills. Seeking to contribute analytical, stakeholder engagement, and process optimization skills in a Business Analyst role.
Overview
2026
2026
years of professional experience
Work History
Executive Case Manager
Valeris
Jeffersonville, IN
2025 - Current
- Handled over 20 inbound and outbound calls per day, providing program welcome support, conducting benefits investigations, and delivering timely updates to patients and healthcare providers.
- Provided personalized case management for over 300 regional cases, ensuring timely resolution of benefit inquiries, prior authorizations, and medication shipments for patients.
- Utilize payer portals and electronic systems to verify coverage, document case activity, and maintain compliance standards.
- Collaborate cross-functionally to resolve issues and communicate coverage outcomes and next steps to stakeholders.
Care Coordinator
The Harris Mental Health Center for Mental Health and IDD
Houston, TX
2023 - 2025
- Performed comprehensive clinical assessments to determine diagnoses, identify service needs, and monitor progress toward individualized treatment goals.
- Collaborated with interdisciplinary treatment teams to develop and implement personalized recovery plans, ensuring authorization and oversight by a Licensed Professional Counselor (LPC).
- Delivered skills training and psychosocial rehabilitation services to support clients with severe and persistent mental illness and address functional impairments.
- Supported clients on accessing essential healthcare, social services, and community resources tailored to their unique needs.
Assistant Store Manager of Operations
Clothing Store
Houston, TX
2021 - 2023
- Supported daily store operations, ensuring efficient workflow execution, inventory accuracy, and compliance with company policies and procedures.
- Coordinated with cross-functional teams, including corporate leadership, vendors, and internal departments, to resolve operational issues and support business initiatives.
- Delivered exceptional customer service in a high-volume retail environment, assisting shoppers with product selection and ensuring a positive in-store experience.
Customer Service Representative
AT&T
Houston, TX
2018 - 2020
- Managed high-volume inbound calls while accurately documenting customer data, technical issues, and resolution steps, ensuring data integrity and audit-ready records.
- Analyzed customer-reported technical issues to identify root causes and provide solutions aligned with company policies and service standards.
- Maintained detailed interaction records and collaborated with cross-functional teams to support service improvements and enhance overall customer experience.
Education
Bachelor of Science - Psychology
University of Houston
Houston, TX05.2023
Bachelor of Science - Business Administration
University of Houston
Houston, TX05.2023
Skills
- Workflow Analysis
- Process Improvement
- Stakeholder Management
- SOP Documentation
- Troubleshooting and analytical skills
- Communication skills
- Proficient in Microsoft Office Suite: Word, Excel, Visio, PowerPoint, and Outlook
- Cross-Functional Collaboration
- Advanced user of Lynk
- Advanced user of Epic
- Effective time management
- Attention to detail
- Organized
- Critical thinker
- Data entry and spreadsheet analysis
- Interpersonal skills
- Customer-oriented
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Executive Case Manager
Valeris
2025 - Current
Care Coordinator
The Harris Mental Health Center for Mental Health and IDD
2023 - 2025
Assistant Store Manager of Operations
Clothing Store
2021 - 2023
Customer Service Representative
AT&T
2018 - 2020
Bachelor of Science - Psychology
University of Houston
Bachelor of Science - Business Administration
University of Houston